Social anxiety disorder (SAD) is one of the most common psychiatric disorders and frequently co-exists with other psychiatric conditions, primarily with mood disorders. MD is the most common psychiatric comorbidity in patients with SAD, and the association of anxiety disorders and bipolar disorder with atypical depression, which is included in diagnostic guidelines for MD as a subgroup, has been well established. The present study aims to determine if SAD patients with comorbid atypical depression or bipolar disorder show differences in terms of symptomatology and disease course compared to SAD patients without bipolar disorder. We hypothesize that social phobia patients may have subgroups within themselves and the processes of these subgroups may be different from those of known SAD patients. In this study a retrospective chart review was performed for patients who had applied to the Psychiatry Outpatient Unit, Kartal Research and Training Hospital, during a 7-month period in 2018. The study had a retrospective design. A total of 82 patients diagnosed with Social Anxiety Disorder based on a SCID-I interview for DSM-IV were included in the study. Of the 82 SAD patients, 16 patients (19.5%) had also co-existing BPD. All SAD patients with comorbid BPD had at least one major depressive episode history, while 15 (93.7%) SAD patients with comorbid BPD exhibited atypical features in at least one episode. Thus, we identified an association between SAD/BPD and atypical depression and discussed the importance of this co-occurrence in terms of clinical evaluation.

Although Sexual Dysfunction (SD) is included in classification systems as a diagnostic of its own, it may both be associated with other medical conditions and often accompany other psychiatric disorders. SD is more common in females than males and the decrease in sexual desire is the most common sexual problem in females. Major comorbid psychiatric disorders are major depression (MD) and anxiety disorders (AD). A total of 68 female patients admitted to the psychiatry clinic were included in the study. Of these, 24 were with MD and 44 patients with AD (7 OCD, 16 PD, 20 GAD, 1 SAD). The diagnosis was made by a psychiatrist using SCID-I / CV. All patients were non-medicated. After the diagnostic interviews, detailed interviews were conducted by the psychiatrist in order to evaluate the sexual function. Arizona Sexual Experiences Scale Female Form (ASEX) was performed to all patients, and our study was performed retrospectively with file screening. When the MD and AD patients were compared in terms of demographic and clinical characteristics, it was found that MD patients were significantly younger than the patients with AD in terms of age. All items of ASEX had statistical significance between the two groups. In our study, the most frequently observed sexual problem in patients with MD and AD was found to be a decrease in sexual desire and it seems to support the studies done in the past. Although sexual dysfunction is common in both groups, sexual life in MD patients is more negatively affected than AD patients.

Panic Disorder (PD) is an anxiety disorder characterized by spontaneous and unexpected panic attacks. Agoraphobia is the fear of being in a place or setting where escaping or receiving help may be difficult in case of a panic attack. Studies on the effect of the relationship between agoraphobia and PD on the disease process have shown that patients with PD accompanied by agoraphobia have earlier disease onset, more severe symptoms, a higher rate of comorbidity and chronicity, and a more negative prognosis in general. The purpose of this study was to compare sociodemographic and clinical characteristic of panic disorder patients with and without agoraphobia. The sample of the study consists of 100 patients who have applied to the psychiatry clinic of the Lutfi Kırdar Kartal Training and Research Hospital and who have been diagnosed with only PD or PD with agoraphobia by clinical interview (SCID-I) based on the DSM-IV. The sociodemographic data form, Clinical Global Impression Scale (CGIS), Global Assessment Scale (GAS), Beck Depression Inventory (BECK-D), Beck Anxiety Inventory (BECK-A), and Panic and Agoraphobia Scale were used for all patients. The incidence of agoraphobia accompanying PD was found to be 44% in our study. The PD with agoraphobia group had significantly worse results compared to the PD without agoraphobia group in terms of CGIS, GAS, and BECK-A scores. Also, the PD with agoraphobia group had a higher mean total PAS score and higher mean agoraphobic avoidance, anticipatory anxiety, disability, and functional avoidance (health concerns) sub-scale scores.

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